ORDERSOUTHAMERICANROSES

Date Ordered: Date of Service:

PLEASE CHECK ONE - SHIPPING TO BUSINESS - SHIPPING TO RESIDENCE

Company Ship To:

c/o Name:

Address:

City: State: Zip Code:

Phone: Area Code - Ext: 1-800 or 888: -

Fax: Area Code - E-mail:

Contact Name:

How did you hear of our company?

*SOUTH AMERICAN ROSES*

$75.00 a dozen

*Select Your Choice Below*

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Tineke	Eskimo	Renate

Vanity	Livia	Pavarotti

Ravel	Anna	Charming Unique

Hot Princess	Blue Curosa	Blue Bird

Peckabou	Tropical Amazon	Orange Unique

Aalsmeer Gold	Judy	Sundance

Preference	Black Magic	Grand Gala

Vogue	Laguna	Rossini

Ronny	Fire and Ice	Lipstick

Estelle	Fancy Amazon	Leonada

Shipping Not Included

*Fill In Your Choice Below*

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TOTAL = $

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*PERSONALIZED COMPUTER GREETING CARD*

Name To:

Add Personalized Message To Card:

Words below to help you write your personalized message:

Aloha	Greetings/Farewell
E komo mai	Welcome
Komo mai	Come in
Maika`i	Fine
Maika`i nõ	Very Fine
Aloha nui loa	Very much love
Mahalo	Thank you
Mahalo nui loa	Thank you very much
Me ke aloha	With love
Me ka pumehana	With warmth
Aloha kãkou	Aloha everyone
Ã hui hou	Until we meet again
Aloha `oe	Farewell to you
Mãlama pono	Be careful/Take care
Hau`oli Lã Hãnau	Happy Birthday
Hau`oli Makahiki Hou	Happy New Year
Mele Kalikimaka	Merry Christmas
Hele	Go ahead
Kipa mai	Come visit
Kipa hou mai!	Come visit again!
Ho`i!	Return!
Hana hou	Do it again
Lawa	Enough
Pau	Finished

PERSONALIZED COMPUTER CARD ($10.00)

*BOX CHARGE - THIS DOES NOT INCLUDED SHIPPING COST*

BOX CHARGE: MAINLAND - NEIGHBOR ISLAND - INTERNATIONAL

Qty () - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - $

PACKING/HANDLING/AGRICULTURE USDA STAMP/BLUE ICE PACK ($17.00 PER BOX)

Important notice - Maximum of (4) Dozen Roses only are packed per box at this price.

*SAME DAY SERVICE ORDER CHARGE*

Important notice - Placing last minute orders to be shipped the same day is subject to a surcharge fee of $20.00.

SAME DAY SERVICE ORDER ($20.00)

*FEDERAL EXPRESS CHARGE*

West Coast: Priority Overnight next business day to most of the West Coast which includes:

Arizona, California, Colorado, Idaho, Nevada, Oregon, Utah and Washington.

No Delivery: On SUNDAY & MONDAY - Except VIA Airlines at an additional cost.

East Coast: Priority Overnight second business day to all of the East Coast:

No Delivery On SUNDAY, MONDAY & TUESDAY - Except VIA Airlines at an additional cost.

(Some rural areas do not qualify for this overnight service. We will check the zip code for you. Orders that qualify for overnight delivery can be shipped Monday through Friday.)

Important notice - Federal Express Charges $12.50 more per box for Saturday Delivery. You may wish to receive your shipment on Friday for that weekend. Shipping to any State east of the Colorado Mountains is two days delivery from Hawaii. Federal Express also charges $12.50 fee for incorrect and incomplete shipping address. Please make sure your address are correct. If they are not, we will have pass this fee on to you.

Federal Express Included In These Charges Are (Courier Pickup Charge $4.00 & Fuel Surcharge 01.00%)
Lbs. or Doz. Roses In Box	Priority Overnight Next Business Morning			Priority Overnight Special Handling Saturday Delivery
	Drop Off Rate	Other Charges	Total Rate	Saturday Surcharge	Total Rate
1 Doz. or 10 Pounds	50.50	4.51	55.01	$12.50	67.51
2 Doz. or 11 Pounds	51.75	4.52	56.27	$12.50	68.77
3 Doz. or 12 Pounds	55.25	4.55	59.80	$12.50	72.30
4 Doz. or 13 Pounds	56.50	4.57	61.07	$12.50	73.57
Anything Over 5 Doz. or 14 Pounds Call For Pricing

Shipping charges are additional and at customer's expense.

PLEASE SELECT YOUR PRIORITY OVERNIGHT SHIPPING CHARGE BELOW

AMOUNT IS BASED ON LEIS PACKED PER BOX

Federal Express Priority Overnight Service:

Federal Express Priority Overnight With Saturday Service:

For Every: (1) Dozen Roses - Add (1) Pound

If you wish to use your own Personal or Business Federal Express

Account Number - Please Enter It Below

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - SUBTOTAL $

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - HI Tax 4.712% $

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - TOTAL DUE $

Payment: Visa or Master Card accepted through LEIS OF HAWAII

Credit Cards Type:

Card No:

This Credit Card Will Not Be Valid Unless You Submit Your

Last 3 Digit Numbers Located On The Back Of Your Credit Card:

Exp. Date: 00/00

Name Of Person As It Appears On The Card:

Credit Card Billing Address:

City: State: Zip Code:

Phone: Area Code - Ext: 1-800 or 888: -

Fax: Area Code - E-mail:

When complete, click "submit" to email Leis Of Hawaii. If you wish to have a hard copy of your order, please print "Form Confirmation" page after submitting. Please allow processing time. You will be contacted by your email below once your Credit Card has been approved, which will confirm your order. You will be contacted by your email if there is any problem with your order.

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